• Journal of Korean Medicine Rehabilitation
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• v.29 no.3
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• pp.113-128
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• 2019

Objectives To evaluate the pattern identification tool for knee osteoarthritis and to investigate the relationship between pattern identification tool and knee ROM (range of motion), VAS (visual analog scale) and WOMAC (Western Ontario & McMaster Universities osteoarthritis index). Methods We studied 50 patients who are diagnosed as degenerative osteoarthritis. With one patient dropping out, total of 49 patient went through pattern identification tool. Re-test of the pattern identification tool was implemented after about a week. The reliability was analyzed by calculating ICC (intraclass correlation coefficient). Also, reliability of each pattern identification score was calculated along with influence factor and correlation between knee ROM, VAS and WOMAC. Results Reliability of the pattern identification tool was evaluated as 'poor agreement beyond chance' with ICC value of 0.396. Reliablility of each pattern identification score was calculated and four out of five were measured 'good' with one 'moderate' reliability. Two of inter-item consistency were 'good', two were 'acceptable' and one was 'questionable'. Correlation between each pattern identification and knee ROM showed 'clear negative linear relationship' with two patterns. VAS showed 'clear positivie linear relationship' with all five patterns. WOMAC showed 'positivie linear relationship' with all five patterns. Conclusions According to the results, pattern identification tool for knee osteoarthritis seems to have meaningful relationship with other agnedas. Also, further research is needed to develop the tool.

• Journal of Korean Medical Ki-Gong Academy
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• v.9 no.1
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• pp.217-237
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• 2006

The purpose of this paper is to show that there is a sure effect of the Extra Gigong Therapy(EGT) on Osteoarthritis patients. 1. Methods of the Spreading-Qi, Breathe naturally, concentrate the mind on Lower Dan(elixir field), When exhaling, Mindwill accompanies Qi to go to the Conception Vessel(CV) and Governor Vessel(GV), conduct Qi to the palms or fingers and emit Qi, with the emitting site touching or leaving the treated region. Qi helps vitality exalted, balance kept, and the circulation well-flowed. 2. For that, we made a schedule of joining some of Osteoarthritis patients who usually take anti-Osteoarthritis drugs, dividing them into two of groups. One is EGT-taken(group 1) and the other is not EGT-taken(group 2). 3. For insurance of analytic accuracy, we use the IEMD(Inner Energy Meridian Diagnosis). 4. In conclusion, there was significant differences between two of groups. Especially from the point of view of liver, kidney and spleen meridian pathways.

• Imaging Science in Dentistry
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• v.31 no.3
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• pp.159-164
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• 2001

Purpose: To evaluate the osseous changes of TMJ in internal derangement and osteoarthritis patients using MRI. Materials and Methods: MR images of 111 TMJs in 64 patients were analyzed to evaluate the osseous changes, 111 TMJs were divided into 6 groups according to the radiologic Stages by Schellhas and Wilkes. On MR images, we evaluate the osseous changes of articular eminence and condylar head. Results: The most frequent Stage in internal derangement of TMJ was Stage I. And 28 joints (25.2%) revealed osteoarthritis with internal derangement. When osseous change of articular eminence and condylar head occur, flattening was the most common osseous change. Sclerosis was observed in all Stages and osteophytosis of condylar head was observed in Stage II (1.8%) and III (0.9%). Out of 28 joints with osteoarthritis, 6 joints (21.4%) showed joint effusion. Conclusion: MR image revealed abnormal configuration of disk, but the detection of minimal osseous change was subtle.

• Journal of Korean Biological Nursing Science
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• v.13 no.2
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• pp.142-148
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• 2011

Purpose: The purpose of this study was to investigate the effects of aromatherapy massage in the elderly with knee osteoarthritis. Methods: Participants were assigned randomly to an intervention (n=21) group and a control (n=21) group. In order to increase a lasting effect of aromatherapy massage, an essential oil used in the form of cream. Each participant had aromatherapy massage on lower legs for 20 minutes each time twice a week for four weeks. Numerical rating scale was used for self-report of pain intensity. Sleep disturbance was measured by Korean Sleep Scale consisting of 15 items. Stride length had been obtained by measuring the distance from the heel of one foot to the heel of the other foot. Results: There was a significant difference between the pain scores of the experimental group and that of control group after the aromatherapy massage (p=.001). Whereas, no significant differences between sleep scores of the two groups (p=.592) was found. The experimental group's stride length significantly increased than those of the control group (p=.009). Conclusion: Aromatherapy massage could be recommended as an effective intervention to decease pain and to increase stride length in the elderly with knee osteoarthritis.

• Journal of the Korean Society of Physical Medicine
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• v.5 no.3
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• pp.375-383
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• 2010

Purpose : The purpose of this study was to investigate a modified maneuver for quadriceps setting exercise for patients with knee osteoarthritis. Methods : The patients were randomly divided into a modified maneuver for quadriceps setting exercise group(MQG) and conventional quadriceps setting exercise group(CQG). Total of 28 patients received a modality with training for 1 hour, three times a week for 12 weeks. Results : Each group showed significant reductions in the WOMAC(Western Ontario McMaster Universities Osteoarthritis) Index, mobility, and muscle strength after 12 weeks. In pain, physical function, and hamstring muscle strength, there was a statistically significant difference between groups. Conclusion : According to the results, MQG experienced less pain, physical function, and increased more hamstring muscle strength than NQG.

• Journal of Korean Academy of Nursing
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• v.42 no.7
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• pp.965-973
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• 2012

Purpose: The purpose of this study was to evaluate a self-care program for elders with osteoarthritis managed by primary health care workers, Community Health Practitioners (CHPs), in rural Korea. Methods: The self-care program, consisting of 7 areas, was evaluated with a randomized experimental study for patients over age 60 with osteoarthritis in which 150 participants in the experimental group and 140 in the control group were compared. The self-care program was implemented for six weeks, 2 hours per week, at community health posts by CHPs. Data were collected using an interview questionnaire given by the CHPs and laboratory tests before and after the intervention for both groups. Propensity score matching analysis was done to test effectiveness after controlling for confounding variables. Results: The intervention group showed a significant decrease in the number of painful joints (p<.001) and a significant increase in self-care ability (p<.05) compared to the control group. Conclusion: Study results indicate that training and utilizing primary health care workers in rural areas is valuable in increasing the generalization and continuity of intervention programs. As arthritis should be managed life-long, CHP directed self-care programs are useful interventions for rural elders with arthritis to learn self-care management.

• Journal of Acupuncture Research
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• v.23 no.1
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• pp.71-93
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• 2006

Objectives : This study is performed for proposing reasonable clinical study protocol at International standard clinical study of osteoarthritis of Knee Joint. Methods : We gave the eighteen oriental medicine doctors the questionnaire and the video about female patient who diagnosed Knee joint of osteoarthritis above 60 years old and they tested same patients using differentiation of symptoms and signs. Then they retested it after We educated them with diagnosis education text. Conclusion : The improvement of diagnosis agreement can be possible by developing standardized the same patients using differentiation of symptoms and by reeducation about it.

• Journal of Korean Academy of Nursing
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• v.36 no.3
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• pp.571-580
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• 2006

Purpose: This study was to compare the effects among Tai-Chi exercise, aquatic Exercise, and a self-help program for knee osteoarthritis patients on symptoms of arthritis, muscle strength, balance, and difficulty of performing activities. Method: There were 50 final subjects50. A non-equivalent pretest-posttest design was used. The collected data was analyzed using SPSS for Window. One-way ANOVA and Scheffe's multiple comparison test were used 8weeks after each program. Result: There were significant differences in joint pain(p=.000), stillness (p=.001), knee extensor peak torque(p=.006), knee flexor(p=.002), and difficult of performing activity (p=.000), but there was no significant difference in balance(p=.648). The Tai-Chi group was significantly different from the self-help group for knee extensor peak torque, knee flexor and stiffness on Scheffe's multiple comparison tests. In addition, the Tai Chi group or aquatic group were significantly different from the self-help group for difficulty of performing activities(p<0.05). Conclusion: There are significant differences in the effects of the nursing intervention among the three groups. The Tai Chi group and aquatic group were significantly different from the self-help group. However, it seems that Tai-chi exercise may be more suitable than aquatic exercise in osteoarthritis exercise programs. Further studies with a longitudinal study are necessary to confirm the longer exercise period.

• Journal of muscle and joint health
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• v.11 no.2
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• pp.127-135
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• 2004

Purpose: The purpose of this study was to explore the effects of aquatic exercise program on pain, flexibility, grip strength, self-care activities, helplessness in osteoarthritis patients. Methods: This program was carried out three times a week for 6 weeks by 3 groups of patients among 42 patients in regular swimming pool. Data were analysed by paired t-test for pre and post comparison. Results: There were significantly improved in pain flexibility, grip strength, self-care activities and helplessness after the program. However no significant differences were found in fatigue, difficulty of daily living activities and depression. Conclusion: Aquatic program was proved to be an effective nursing intervention to increase the self-care activities flexibility and grip strength, and to decrease pain and helplessness in osteoarthritis patients.

• Korean Journal of Adult Nursing
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• v.23 no.3
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• pp.288-297
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• 2011

Purpose: The purpose of this study was to explore the experiences of Tai Chi in women with osteoarthritis. Methods: Data were collected by face-to-face interview from 14 participants. Theoretical sampling was performed until the concepts were saturated. The main question was "How do you describe your experience of Tai Chi?" Data were analyzed using a grounded theory methodology. All interviews were audio taped and transcribed verbatim. Results: The Phenomenon is 'QI flowing'. The core category was identified with 'inspiring one's life with strength'. This series of processes was categorized into four stages: 'Challenging Tai chi', 'Doing one's best', 'Deplenishing (the word used in English and Tai chi is emptying one's mind) one's mind', 'Taking a Positive view of life'. Conclusion: The finding of this study will offer profound understanding about the reported tai chi's experience. Additional research should be done as to the role of Tai chi as a nursing intervention strategy for osteoarthritis patients.